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Form

1040 Department of the Treasury—Internal Revenue Service

U.S. Individual Income Tax Return


(99)
2017 OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.

For the year Jan. 1–Dec. 31, 2017, or other tax year beginning , 2017, ending , 20 See separate instructions.
Your first name and initial Last name Your social security number

Amara Enyia
If a joint return, spouse’s first name and initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) above
and on line 6c are correct.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign
Check here if you, or your spouse if filing
jointly, want $3 to go to this fund. Checking
Foreign country name Foreign province/state/county Foreign postal code
a box below will not change your tax or
refund. You Spouse

1 Single 4 Head of household (with qualifying person). (See instructions.)


Filing Status
2 Married filing jointly (even if only one had income) If the qualifying person is a child but not your dependent, enter this
Check only one 3 Married filing separately. Enter spouse’s SSN above child’s name here.
box. and full name here. 5 Qualifying widow(er) (see instructions)

Exemptions 6a
b
Yourself. If someone can claim you as a dependent, do not check box 6a .
Spouse . . . . . . . . . . . . . . . . . . . .
.
.
.
.
.
.
.
.
} Boxes checked
on 6a and 6b
No. of children
1
c Dependents: (2) Dependent’s (3) Dependent’s (4) if child under age 17 on 6c who:
qualifying for child tax credit • lived with you
(1) First name Last name social security number relationship to you
(see instructions) • did not live with
you due to divorce
or separation
If more than four (see instructions)
dependents, see Dependents on 6c
instructions and not entered above
check here Add numbers on
d Total number of exemptions claimed . . . . . . . . . . . . . . . . . lines above
1
7 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . 7 31,387.
Income
8a Taxable interest. Attach Schedule B if required . . . . . . . . . . . . 8a
b Tax-exempt interest. Do not include on line 8a . . . 8b
Attach Form(s)
9a Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . 9a
W-2 here. Also
attach Forms b Qualified dividends . . . . . . . . . . . 9b
W-2G and 10 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . 10
1099-R if tax 11 Alimony received . . . . . . . . . . . . . . . . . . . . . 11
was withheld.
12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . 12 11,479.
13 Capital gain or (loss). Attach Schedule D if required. If not required, check here 13
If you did not 14 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . 14
get a W-2,
see instructions. 15a IRA distributions . 15a b Taxable amount . . . 15b
16a Pensions and annuities 16a b Taxable amount . . . 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17
18 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . 18
19 Unemployment compensation . . . . . . . . . . . . . . . . . 19
20a Social security benefits 20a b Taxable amount . . . 20b
21 Other income. List type and amount 21
22 Combine the amounts in the far right column for lines 7 through 21. This is your total income 22 42,866.
23 Educator expenses . . . . . . . . . . . 23
Adjusted 24 Certain business expenses of reservists, performing artists, and
Gross fee-basis government officials. Attach Form 2106 or 2106-EZ 24
Income 25 Health savings account deduction. Attach Form 8889 . 25
26 Moving expenses. Attach Form 3903 . . . . . . 26
27 Deductible part of self-employment tax. Attach Schedule SE . 27 811.
28 Self-employed SEP, SIMPLE, and qualified plans . . 28
29 Self-employed health insurance deduction . . . . 29
30 Penalty on early withdrawal of savings . . . . . . 30
31a Alimony paid b Recipient’s SSN 31a
32 IRA deduction . . . . . . . . . . . . . 32
33 Student loan interest deduction . . . . . . . . 33
34 Tuition and fees. Attach Form 8917 . . . . . . 34
35 Domestic production activities deduction. Attach Form 8903 35
36 Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . 36 811.
37 Subtract line 36 from line 22. This is your adjusted gross income . . . . . 37 42,055.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. BAA REV 02/22/18 PRO Form 1040 (2017)
Form 1040 (2017) Page 2
38 Amount from line 37 (adjusted gross income) . . . . . . . . . . . . . . 38 42,055.
Tax and
Credits
39a Check
if:
{ You were born before January 2, 1953,
Spouse was born before January 2, 1953,
Blind.
Blind.
} Total boxes
checked 39a
b If your spouse itemizes on a separate return or you were a dual-status alien, check here 39b
Standard 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . 40 6,350.
Deduction 35,705.
for— 41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . 41
• People who 42 Exemptions. If line 38 is $156,900 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions 42 4,050.
check any
box on line 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . 43 31,655.
39a or 39b or 44 Tax (see instructions). Check if any from: a Form(s) 8814 b Form 4972 c 44 4,285.
who can be
claimed as a 45 Alternative minimum tax (see instructions). Attach Form 6251 . . . . . . . . . 45
dependent,
see 46 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . 46
instructions. 47 Add lines 44, 45, and 46 . . . . . . . . . . . . . . . . . . . 47 4,285.
• All others:
48 Foreign tax credit. Attach Form 1116 if required . . . . 48
Single or
Married filing 49 Credit for child and dependent care expenses. Attach Form 2441 49
separately,
$6,350 50 Education credits from Form 8863, line 19 . . . . . 50
Married filing 51 Retirement savings contributions credit. Attach Form 8880 51
jointly or
Qualifying 52 Child tax credit. Attach Schedule 8812, if required . . . 52
widow(er), 53 Residential energy credits. Attach Form 5695 . . . . 53
$12,700
Head of 54 Other credits from Form: a 3800 b 8801 c 54
household, 55 Add lines 48 through 54. These are your total credits . . . . . . . . . . . . 55
$9,350
56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- . . . . . . 56 4,285.
57 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . 57 1,622.
Other 58 Unreported social security and Medicare tax from Form: a 4137 b 8919 . . 58
59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . 59
Taxes 60a Household employment taxes from Schedule H . . . . . . . . . . . . . . 60a
b First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . 60b
61 Health care: individual responsibility (see instructions) Full-year coverage . . . . . 61
62 Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) 62
63 Add lines 56 through 62. This is your total tax . . . . . . . . . . . . . 63 5,907.
Payments 64 Federal income tax withheld from Forms W-2 and 1099 . . 64 8,800.
65 2017 estimated tax payments and amount applied from 2016 return 65
If you have a
66a Earned income credit (EIC) . . . . . . .No. . . 66a
qualifying
child, attach b Nontaxable combat pay election 66b
Schedule EIC. 67 Additional child tax credit. Attach Schedule 8812 . . . . . 67
68 American opportunity credit from Form 8863, line 8 . . . 68
69 Net premium tax credit. Attach Form 8962 . . . . . . 69
70 Amount paid with request for extension to file . . . . . 70
71 Excess social security and tier 1 RRTA tax withheld 71 . . . .
72 Credit for federal tax on fuels. Attach Form 4136 72 . . . .
73 Credits from Form: a 2439 b Reserved c 8885 d 73
74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments . . . . . 74 8,800.
Refund 75 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 75 2,893.
76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here . 76a 2,893.
Direct deposit? bRouting number X X X X X X X X X c Type: Checking Savings
See dAccount number X X X X X X X X X X X X X X X X X
instructions.
77 Amount of line 75 you want applied to your 2018 estimated tax 77
Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions 78
You Owe 79 Estimated tax penalty (see instructions) . . . . . . . 79
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No
Designee’s Phone Personal identification
Designee name no. number (PIN)

Sign Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and
accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here Your signature Date Your occupation Daytime phone number
Joint return? See
instructions. Public Policy Consulant
Keep a copy for Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent you an Identity Protection
your records. PIN, enter it
here (see inst.)
Print/Type preparer’s name Preparer’s signature Date PTIN
Paid Check if
self-employed P00493106
Preparer
Firm’s name Firm’s EIN
Use Only
Firm’s address Phone no.
Go to www.irs.gov/Form1040 for instructions and the latest information. REV 02/22/18 PRO Form 1040 (2017)
Illinois Department of Revenue
2017 Form IL-1040
Individual Income Tax Return or for fiscal year ending /
Over 80% of taxpayers file electronically. It is easy and you will get your refund faster. Visit tax.illinois.gov.
Step 1: Personal Information


Amara Enyia

C

Filing status (see instructions)
Single or head of household
Married filing jointly Married filing separately Widowed
Step 2: 1 Federal adjusted gross income from your federal Form 1040, Line 37; 1040A, Line 21; or (Whole dollars only)

Income 1040EZ, Line 4 1 42,055 .00


2 Federally tax-exempt interest and dividend income from your federal Form 1040 or 1040A,
Line 8b; or federal Form 1040EZ 2 .00
Staple W-2 and 1099 forms here

3 Other additions. Attach Schedule M. 3 .00


4 Total income. Add Lines 1 through 3. 4 42,055 .00
Step 3: 5 Social Security benefits and certain retirement plan income
Base received if included in Line 1. Attach Page 1 of federal return. 5 .00
6Income Illinois Income Tax overpayment included in federal Form 1040, Line 10 6 .00
7 Other subtractions. Attach Schedule M. 7 .00
Check if Line 7 includes any amount from Schedule 1299-C.
8 Add Lines 5, 6, and 7. This is the total of your subtractions. 8 .00
9 Illinois base income. Subtract Line 8 from Line 4. 9 42,055 .00
Step 4: See instructions before completing Step 4.
10 a Number of exemptions from your federal return 1 x $2,175 a 2,175 .00
Exemptions
b If someone can claim you as a dependent, see instructions. x $2,175 b .00
c Check if 65 or older: You + Spouse = x $1,000 c .00
d Check if legally blind: You + Spouse = x $1,000 d .00
Exemption allowance. Add Lines a through d. 10 2,175 .00
Step 5:
11 Residents: Net income. Subtract Line 10 from Line 9. Skip Line 12. 11 39,880 .00
Net 12 Nonresidents and part-year residents:
Staple your check and IL-1040-V


Income Check the box that applies to you during 2017 Nonresident Part-year resident, and
enter the Illinois base income from Schedule NR. Attach Schedule NR. 12
.00
Step
6: 13 Residents: Multiply Line 11 by 4.3549% (.043549). Cannot be less than zero.
Tax Nonresidents and part-year residents: Enter the tax from Schedule NR.
Check if you completed Schedule SA to calculate your income tax. Attach Schedule SA. 13 1,737 .00
14 Recapture of investment tax credits. Attach Schedule 4255. 14 .00
15 Income tax. Add Lines 13 and 14. Cannot be less than zero. 15 1,737 .00
Step 7: 16 Income tax paid to another state while an Illinois resident.
Attach Schedule CR. 16 .00
Tax After 17 Property tax and K-12 education expense credit amount from
Non- Schedule ICR. Attach Schedule ICR. 17 .00
refundable
18 Credit amount from Schedule 1299-C. Attach Schedule 1299-C. 18 .00
Credits 19 Add Lines 16, 17, and 18. This is the total of your credits. Cannot
exceed the tax amount on Line 15. 19 0 .00
20 Tax after nonrefundable credits. Subtract Line 19 from Line 15. 20 1,737 .00
ID: 3WM REV 01/23/18 PRO This form is authorized as outlined under the Illinois Income Tax Act. Disclosure of
IL-1040 Front (R-12/17) this information is required. Failure to provide information could result in a penalty.
21 Tax after nonrefundable credits from Page 1, Line 20 21 1,737.00
Step 8: 22 Household employment tax. See instructions. 22 .00
Other 23 Use tax on internet, mail order, or other out-of-state purchases from
Taxes UT Worksheet or UT Table in the instructions. Do not leave blank. 23 0.00
24 Compassionate Use of Medical Cannabis Pilot Program Act Surcharge 24 .00
25 Total Tax. Add Lines 21, 22, 23, and 24. 25 1,737.00
9:
Step 26 Illinois Income Tax withheld. Attach all W-2 and 1099 forms. 26 1,554.00
Payments 27 Estimated payments from Forms IL-1040-ES and IL-505-I,

and including any overpayment applied from a prior year return 27 .00

Refundable 28 Pass-through withholding payments. Attach Schedule K-1-P or K-1-T. 28 .00
Credit
29 Earned Income Credit from Schedule IL-EIC. Attach Schedule IL-EIC. 29 .00
30 Total payments and refundable credit. Add Lines 26 through 29. 30 1,554.00
Step
10: 31 If Line 30 is greater than Line 25, subtract Line 25 from Line 30. 31 .00
Total 32 If Line 25 is greater than Line 30, subtract Line 30 from Line 25. 32 183.00
11:
Step Only complete this step for late-payment penalty for underpayment
of estimated tax or to make a voluntary charitable donation.
Underpayment 33 Late-payment penalty for underpayment of estimated tax 33 .00
of Estimated

Tax Penalty a Check if at least two-thirds of your federal gross income is from farming.
and
b Check if you or your spouse are 65 or older and permanently
Donations
living in a nursing home.
c Check if your income was not received evenly during the year and
you annualized your income on Form IL-2210. Attach Form IL-2210.
d Check if you were not required to file an Illinois Individual Income Tax
return in the previous tax year.
34 Voluntary charitable donations. Attach Schedule G. 34 .00
35 Total penalty and donations. Add Lines 33 and 34. 35 .00
Step 12: 36 If you have an amount on Line 31 and this amount is greater than
Line 35, subtract Line 35 from Line 31. This is your overpayment. 36 .00
Refund 37 Amount from Line 36 you want refunded to you. Check one box on Line 38. See instructions. 37 .00
38 I choose to receive my refund by
a direct deposit - Complete the information below if you check this box.
Routing number
Checking or Savings

Account number

b Illinois Individual Income Tax refund debit card


c paper check
39 Amount to be credited forward. Subtract Line 37 from Line 36. See instructions. 39 .00
Step 13: 40 If you have an amount on Line 32, add Lines 32 and 35. - or -
Amount If you have an amount on Line 31 and this amount is less than Line 35,
You Owe subtract Line 31 from Line 35. This is the amount you owe. See instructions. 40 183.00

Step 14: If this is a joint return, both you and your spouse must sign below.
Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete.
Sign
Here Your signature Date (mm/dd/yyyy) Spouse’s signature Date (mm/dd/yyyy) Daytime phone number
Check if P00493106
Paid Print/Type paid preparer’s name Paid preparer’s signature Date (mm/dd/yyyy) self-employed Paid Preparer’s PTIN
Preparer
Firm’s name Firm’s FEIN
Use Only
Firm’s address Firm’s phone
Third Check if the Department may
Party discuss this return with the third
Designee Designee’s name (please print) Designee’s phone number party designee shown in this step.
If no payment enclosed, mail to: If payment enclosed, mail to:
ILLINOIS DEPARTMENT OF REVENUE ILLINOIS DEPARTMENT OF REVENUE
ID: 3WM SPRINGFIELD IL 62719-0001 SPRINGFIELD IL 62726-0001

IL-1040
Back (R-12/17) REV 01/23/18 PRO DR AP RR DC IR